Labor & Delivery Practice Exam Questions and Verified Answers| 100% Correct (2023/2024 Update)

Labor & Delivery Practice Exam Questions and Verified Answers| 100% Correct (2023/2024 Update) Q: While a 31-year-old multigravida at 39 weeks' gestation in active labor is being admitted, her amniotic membranes rupture spontaneously. The client's cervix is 5 cm dilated and the presenting part is at 0 station. Which of the following should the nurse do first? a) Prepare the client for imminent birth. b) Note the color, amount, and odor of the amniotic fluid. c) Auscultate the client's blood pressure. d) Perform a vaginal examination to determine dilation. Answer: Note the color, amount, and odor of the amniotic fluid. Q: The primary health care provider orders an amniocentesis for a primigravid client at 35 weeks' gestation in early labor to determine fetal lung maturity. Which of the following is an indicator of fetal lung maturity? Answer: Lecithin-sphingomyelin (L/S ratio). Q: A multigravid client is admitted at 4-cm dilation and is requesting pain medication. The nurse gives the client nalbuphine 15 mg. Within five minutes, the client tells the nurse she feels like she needs to have a bowel movement. The nurse should first: prepare for birth. complete a vaginal examination to determine dilation, effacement, and station. have naloxone hydrochloride available in the birthing room. document the client's relief due to pain medication. Answer: Complete a vaginal examination to determine dilation, effacement, and station Q: The health care provider (HCP) plans to perform an amniotomy on a multiparous client admitted to the labor area at 41 weeks' gestation for labor induction. After the amniotomy, the nurse should first: assess the client's temperature and pulse. document the color of the amniotic fluid. monitor the client's contraction pattern. assess the fetal heart rate (FHR) for 1 full minute. Answer: assess the fetal heart rate (FHR) for 1 full minute. Q: The nurse has provided an in-service presentation to ancillary staff about standard precautions on the birthing unit. The nurse determines that one of the staff members needs further instructions when the nurse makes which observation? a) placement of bloody sheets in a container designated for contaminated linens b) use of protective goggles during a cesarean birth c) disposal of used scalpel blades in a puncture-resistant container d) wearing of sterile gloves to bathe a neonate at 2 hours of age Answer: wearing of sterile gloves to bathe a neonate at 2 hours of age Correct Explanation: One of the staff members needs further instructions when the nurse observes the staff member wearing sterile gloves to bathe a neonate at 2 hours of age. Clean gloves should be worn, not sterile gloves. Sterile gloves are more expensive than clean gloves and are not necessary when bathing a neonate. Q: Which physiologic change during labor makes it necessary for the nurse to assess blood pressure frequently? Blood pressure decreases at the peak of each contraction. Blood pressure decreases as a sign of maternal pain. Decreased blood pressure is the first sign of preeclampsia. Alterations in cardiovascular function affect the fetus. Answer: Alterations in cardiovascular function affect the fetus. Q: Which behavior should cause the nurse to suspect that a client's labor is moving quickly and that the physician should be notified? Answer: An increased sense of rectal pressure Q: What data indicates to the nurse that placental detachment is occurring? a) An abrupt lengthening of the cord b) Decreased vaginal bleeding c) A decrease in the number of contractions d) Relaxation of the uterus Answer: A Q: When caring for a client with preeclampsia, which action is a priority? 1. Monitoring the client's labor carefully and preparing for a fast delivery 2. Continually assessing the fetal tracing for signs of fetal distress 3. Checking vital signs every 15 minutes to watch for increasing blood pressure 4. Reducing visual and auditory stimulation Answer: Answer: 4 RATIONALES: A client with preeclampsia is at risk for seizure activity because her neurologic system is overstimulated. Therefore, in addition to administering pharmacologic interventions to reduce the possibility of seizures, the nurse should lessen auditory and visual stimulation. Although the other actions are important, they're of a lesser priority. Q: While performing continuous electronic monitoring of a client in labor, the nurse should document which information about the contractions? A) Duration, frequency, and intensity B) Duration, dilation,, frequency C) Frequency, duration maternal position D) Duration, effacement, position Answer: